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李信平 《中华现代护理杂志》2001,7(7)
目的设计和研制一次性配药器,以弥补用注射器配制药物的不足.方法通过配药针内的空气和液体出入腔使液体瓶和药物瓶之间相互贯通,达到药物溶解或稀释后,再回流到液体瓶(袋)内,完成药液配制.结果用注射器与配药器两种配药方法相比较,在减少操作环节、杜绝污染等方面,二者有较大差异.结论配药器配药明显优于注射器配药. 相似文献
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在静脉输液配药时,有些药物如强力宁、清开灵等易产生泡沫,如处理不当可顺针头溢出瓶外造成液体污染,临床工作中用下述办法可避免发生此类现象。用注射器连接针头将药物吸入注射器内,再将所用液体瓶口消毒后用手固定斜放,将吸入药物的注射器针头直接插入液体内,再注入药物,并需吸出 相似文献
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输液配药是临床治疗中静脉滴注前一项重要的工作环节。在配药过程中,通常用注射器进行,配置安瓿或密闭瓶药物需人工将药物吸入注射器,再将注射器内的药物加入输液袋中。这种人工加药方法不仅费时费力,而且单手持抓注射器加药是普遍现象, 相似文献
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临床护士为病人输液配制药液时常规用一次性注射器抽吸药物,现行操作手法烦琐,费时费力。实用新型一次性配药器(专利号:ZL02213530.8)的出现,可以有效地解决这些问题。现将一次性配药器和注射器抽吸药液效果比较如下。 相似文献
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参麦注射液是心内科常用药物,价格较贵,按常规方法配药,液体瓶内会产生许多泡沫,常从瓶塞针头插入处溢出,有时因瓶内泡沫多、压力大,致药液不能全部注入瓶内,强行注入偶会导致玻璃液体瓶爆裂,给配药带来一定难度,还存在一定的安全隐患,同时也造成药物浪费。为此,我们摸索出一种新的配药方法,可明显减少泡沫的产生。现介绍如下。1方法用20mL注射器按常规方法吸取参麦注射液,继之左手掌心向下,用拇指和食指握住液体瓶颈并将瓶体向操作者方向倾斜至与桌面成30度~45度角,右手持注射器,针头斜面朝下插入瓶内,当针头斜面完全浸没于液面以下时再缓… 相似文献
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在临床工作中,配药是基本的护理操作,配药时一般用20 mL注射器配制,针头一般是12号的,孔径较大,在抽液体稀释密封瓶内药物时,由于反复抽吸,所以很容易将瓶塞配入药液中.笔者通过一段时间的反复试验,改进操作方法,减少了瓶塞进入药液.现介绍如下. 相似文献
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目的探讨中药调剂中应用处方分析方法对临床安全用药的影响。方法查阅整理我队2018年1月至2019年1月门诊部使用的7 000张中药处方,2018年1月至2018年6月中药调剂中未经处方分析的3 500张处方被设为对照组,2018年7月至2019年1月中药调剂中采用处方分析的3 500张处方设为观察组。比较两组的中药调剂差错率、单张中药处方味数及不合理处方占比。结果观察组的组方结构不明、处方书写不规范、药物剂量过大、未标明脚注、配伍禁忌、配药错误、发药错误的调剂差错率及总差错率均低于对照组(P<0.05)。两组单张中药处方的味数主要为10~20味,且观察组1~5味、6~10味占比高于对照组,11~15味及16~20味占比低于对照组(P<0.05)。观察组不合理处方占比低于对照组(P<0.05)。不合理处方主要包括诊断不符合规定、药物用量不合理、药物搭配不合理、脚注及煎煮用法不当及重复用药。结论在中药调剂中应用处方分析方法能降低差错率,减少处方不合理现象发生,避免用药过多过杂。 相似文献
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Perumal Samy R Gopalakrishnakone P 《Evidence-based complementary and alternative medicine : eCAM》2010,7(3):283-294
The uses of traditional medicinal plants for primary health care have steadily increased worldwide in recent years. Scientists are in search of new phytochemicals that could be developed as useful anti-microbials for treatment of infectious diseases. Currently, out of 80% of pharmaceuticals derived from plants, very few are now being used as anti-microbials. Plants are rich in a wide variety of secondary metabolites that have found anti-microbial properties. This review highlights the current status of traditional medicine, its contribution to modern medicine, recent trends in the evaluation of anti-microbials with a special emphasis upon some tribal medicine, in vitro and in vivo experimental design for screening, and therapeutic efficacy in safety and human clinical trails for commercial outlet. Many of these commercially available compounds are crude preparations administered without performing human clinical trials. Recent methods are useful to standardize the extraction for scientific investigation of new phytochemicals and anti-microbials of traditionally used plants. It is concluded that once the local ethnomedical preparations of traditional sources are scientifically evaluated before dispensing they should replace existing drugs commonly used for the therapeutic treatment of infection. This method should be put into practice for future investigations in the field of ethnopharmacology, phytochemistry, ethnobotany and other biological fields for drug discovery. 相似文献
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BACKGROUND: United Blood Services (UBS) began bacterial testing of platelets (PLTs) using one‐bottle cultures in September 2003. Collection of 7‐day PLTs using two‐bottle cultures began in April 2006. This study compares our experience using both systems. STUDY DESIGN AND METHODS: PLTs from 13 UBS regional centers cultured from September 1, 2003, to September 1, 2007, were included in the analysis. Positive‐signal bottles from a commercially available microbial detection system (BacT/ALERT, bioMérieux) were sent, with corresponding PLTs if available, for confirmatory testing using plate culture media. AABB definitions were used with modifications. RESULTS: A total of 51,265 7‐day PLT collections and 191,521 5‐day PLT collections were tested with bacterial cultures. The overall true‐positive (TP) rate for the two‐bottle system (1:8544) was comparable to the TP rate with the previous one‐bottle system (1:6344). In three of six yield cases, only the anaerobic bottle was positive (two cases of Group D Streptococci, one case of Corynebacterium spp.). The false‐positive (FP) and indeterminate (IND) rates in the anaerobic bottle (1:1767 and 1:1830, respectively) were significantly higher than those in the aerobic bottle (1:6408 and 1:17,088, respectively; p < 0.001). One confirmed transfusion‐related septic reaction, classified as a late TP after investigation, was reported out of 242,786 tested PLT donations. CONCLUSION: The rate of TP cases by the two‐bottle system was not increased over the one‐bottle system, although anaerobic‐bottle‐only positive cases were detected. FP and IND rates were increased in the two‐bottle system, attributable to the anaerobic bottle. Observation of only one documented transfusion‐related septic reaction in 4 years of bacterial screening at UBS is reassuring, although limitations in passive surveillance and higher rates of reactions reported by others indicate the need for continued vigilance. 相似文献
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改进灌肠方法治疗溃疡性结肠炎的护理观察 总被引:9,自引:0,他引:9
目的 探讨改进保留灌肠方法对溃疡性结肠炎的治疗护理效果。方法 将75例溃疡性结肠炎患者随机分为2组,观察组40例,对照组35例。对照组采取传统保留灌肠方法,观察组采取双腔球囊乳胶导尿管,用一次性输液器控制注药速度,球囊内注水防止药液外溢,并根据病变部位的不同,选择不同的插管深度厦灌后的体位。结果 与对照组比较,观察组药液在肠道内保留时间明显延长,灌肠药液外溢明显减少,总有效率明显增高。结论 改进保留灌肠方法可减少药液外溢,延长药液在肠道内保留时间,利于药液与渍疡面的广泛接触,从而提高溃疡性结肠炎的治疗护理效果。 相似文献
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目的监测静脉输液瓶口常规配药后放置不同时间段微生物的污染情况,探讨配药后30min内接上液体时不再重新消毒瓶口的可行性。方法取210瓶100ml无菌生理盐水,分7组进行常规配药,30瓶/组。分别于消毒后、消毒配药后5,10,15,20,25,30min,7个不同时间段对瓶口进行微生物采样计数;同时进行治疗室空气培养。结果210瓶无菌生理盐水瓶口中有25个被微生物污染,其中微生物主要为G+杆菌、微球菌、类酵母样菌、凝固酶阴性葡萄球菌。不同时间段内所污染的瓶口数及各瓶口微生物污染菌落计数经!2检验(P>0.05)差异无统计学意义。结论常规配药后,如30min内接上液体,可不必再重新消毒瓶口。 相似文献